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HRD-78-89 1 (1978-08-08)

handle is hein.gao/gaobaaxun0001 and id is 1 raw text is: 


       RELEASED







LM106843


REPORT BY


OF THE UNITED STATES


Portland Metro Health Plat, Inc-, Poreand,
Oregon, was the first quaiffed heal1M main-
tenance organization to contract for health
care with an indkidual practice association.
As of June 30. 1977, Portland Metro reported
it had enrolled 7,25 membeis.
The plan offers th specified health berefits,
meets the organizatioral reqireraents, and
generally satisfies the operationM require-
ments of the Heath Maintenance Orpniza-
tion Act of 1973. ltdidnot, however, have an
open enrollment period normdi it enroll mem-
bers to broadly repe: ,nt its servie area. Its
policies tend to exdude or d-scou-age certain
groups from be-corrnig rmembers.

Unless Portland Metro increases premnum
rates and reduces admin istrati  costs-s-stan-
tially, it will not be fiscally swand as required
by the act. GAO deabts Portlnd Metro's abil-
'tV to do this. Thas, it will not be able to
operate beyond its loan subsidy period with-
out additional Federal financil assistance.


RELEASED


     HRD-78-89
AUGUST 8, 1978


Comptroller General


Portland Metro ftafth Plan, Inc.

-A Federally Quallfiw

Health Maintenance a;ganization

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